Individual
SALLY SHOPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 CONSTELLATION CT, MIDDLETOWN, PA 17057-5086
(717) 948-3207
Mailing address
81 CONSTELLATION CT, MIDDLETOWN, PA 17057-5086
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN595931
PA
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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